A randomized, double-blind, placebo-controlled, multicenter study evaluating the effect of a 12-week DHEA combination of 20 mg and 2 mg prolonged-release melatonin on sleep quality and mood in postmenopausal women.

2024-520234-30-00 Protocol DHM/EPH/01/2022 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 30 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol DHM/EPH/01/2022

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 100
Countries 1
Sites 1

Menopause, sleep disorders in the postmenopausal period

Demonstration that 12-week supplementation with 20 mg DHEA and 2 mg sustained-release melatonin improves sleep quality and reduces daytime sleepiness. Demonstration that supplementation with 20 mg DHEA and 2 mg sustained-release melatonin improves mood and reduces the severity of vasomotor symptoms associated with meno…

Key facts

Sponsor
The Pharmaceutical Company LEK-AM Sp. Zoo., Przedsiebiorstwo Farmaceutyczne Lek-Am Sp. z o.o.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13], Health Care [N] - Health Care Quality, Access, and Evaluation [N05]
Trial duration
30 Nov 2024 → ongoing
Decision date (initial)
2025-01-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-520234-30-00
EudraCT number
2022-004160-16

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis, Therapy, Safety, Efficacy, Prophylaxis

Demonstration that 12-week supplementation with 20 mg DHEA and 2 mg
sustained-release melatonin improves sleep quality and reduces daytime sleepiness.
Demonstration that supplementation with 20 mg DHEA and 2 mg sustained-release melatonin
improves mood and reduces the severity of vasomotor symptoms associated with menopause.

Secondary objectives 1

  1. Demonstration that DHEA supplementation at a dose of 20 mg and 2 mg of sustained-release melatonin affects the concentration of DHEAS and estradiol.

Conditions and MedDRA coding

Menopause, sleep disorders in the postmenopausal period

VersionLevelCodeTermSystem organ class
20.0 LLT 10040999 Sleep disturbed 10037175
21.1 LLT 10050903 Postmenopausal symptoms 10038604
20.0 PT 10027308 Menopause 100000004869

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. woman, BMI 20.0-29.9 kg / m2, the time since the last menstruation for at least 12 months, stable body weight during the last 6 months, FSH concentration 35-135 mIU / ml and estradiol 5-55 pg / ml, total testosterone concentration 0.084 - 0.481 ng / ml, score on the Athens Insomnia Scale> 6 points, Beck Depression Score 11–27 points, Kupperman Scale score 17-30 points, Epworth scale score, no use of menopausal replacement therapy for at least 6 months, The ability to understand audit procedures and provide written informed consent.

Exclusion criteria 1

  1. Current use of menopausal replacement therapy, The use of phytoestrogens, The use of psychotropic drugs, Taking sleeping pills, - Use of oral or intravenous glucocorticosteroids, Vaginal application of DHEA (Prasteron), Current or history of oncological disease, Decompensated thyroid disease or other endocrine disease such as Cushing's syndrome, Diagnosed obstructive sleep apnea, Uncontrolled cardiovascular diseases (hypertension, coronary artery disease, heart failure), Osteoarthritis with significant pain ailments with the use of steroid therapy, Rheumatoid arthritis and other rheumatological diseases with the use of steroids, A disease of the nervous system that may affect sleep disturbances, History of mental illness (except postmenopausal depression), The patient's lack of cooperation.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary endpoints of this study are to evaluate the effects of 12 weeks of DHEA 20 mg and 2 mg sustained-release melatonin on sleep quality in postmenopausal women and on mood and reduction of menopausal vasomotor symptoms.

Secondary endpoints 1

  1. Assessment of the effect of 12-week administration of DHEA in a dose of 20 mg and 2 mg of sustained-release melatonin on the serum concentration of DHEAS, estradiol, LH and SHBG.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Senaxa PR, 2 mg, tabletki o przedłużonym uwalnianiu

PRD10365473 · Product

Active substance
Melatonin
Pharmaceutical form
PROLONGED-RELEASE TABLET
Route of administration
ORAL USE
Max daily dose
2 mg milligram(s)
Max total dose
2 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
N05CH01 — -
Marketing authorisation
27734
MA holder
PRZEDSIĘBIORSTWO FARMACEUTYCZNE LEK-AM SP. ZO.O.
MA country
Poland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Biosteron, 10 mg, tabletki

PRD333221 · Product

Active substance
Prasterone
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
20 mg milligram(s)
Max total dose
20 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
A14AA07 — PRASTERONE
Marketing authorisation
9580
MA holder
PRZEDSIĘBIORSTWO FARMACEUTYCZNE LEK-AM SP. Z O.O.
MA country
Poland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

The Pharmaceutical Company LEK-AM Sp. Zoo.

Sponsor organisation
The Pharmaceutical Company LEK-AM Sp. Zoo.
Address
ul. Ostrzykowizna 14A
City
Zakroczym
Postcode
05-170
Country
Poland

Scientific contact point

Organisation
The Pharmaceutical Company LEK-AM Sp. Zoo.
Contact name
The Pharmaceutical Company LEK-AM Sp. Zoo.

Public contact point

Organisation
The Pharmaceutical Company LEK-AM Sp. Zoo.
Contact name
Ewa Malecka

Przedsiebiorstwo Farmaceutyczne Lek-Am Sp. z o.o.

Sponsor organisation
Przedsiebiorstwo Farmaceutyczne Lek-Am Sp. z o.o.
Address
Ul. Ostrzykowizna 14 A
City
Zakroczym
Postcode
05-170
Country
Poland

Scientific contact point

Organisation
Przedsiebiorstwo Farmaceutyczne Lek-Am Sp. z o.o.
Contact name
Ewa Malecka

Public contact point

Organisation
Przedsiebiorstwo Farmaceutyczne Lek-Am Sp. z o.o.
Contact name
Ewa Malecka

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ongoing, recruiting 100 1
Rest of world 0

Investigational sites

Poland

1 site · Ongoing, recruiting
Europharma Research & Science Center Sp. z o.o.
Gynecology, Ul. Krzywa 6, 40-061, Katowice

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2024-11-30 2024-11-30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-520234-30-00 2
Recruitment arrangements (for publication) K2_Recruitment material_leaflet 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Biosteron 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Senaxa PR 1
Synopsis of the protocol (for publication) D1_Protocol synopsis PL 2024-520234-30-00 2

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-02 Poland Acceptable
2025-01-29
2025-01-30
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-14 Poland Acceptable
2025-05-13
2025-05-13